| NPI | 1578026670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000442) |
| Additional Taxonomies | 226000000X Recreational Therapist Assistant (Licence: VA 0131000442) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |